Organization
ULTRA IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JORDAN (CEO)
(910) 223-0303
Entity
Organization
Contact information
Practice address
2014 LITHO PL, FAYETTEVILLE, NC 28304-2518
(910) 223-0303
Mailing address
2014 LITHO PL, FAYETTEVILLE, NC 28304-2518
(910) 223-0303
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195Q
BCBS
NC
01
—
28927
WELLPATH
NC
01
—
7011254
CIGNA
NC
01
—
7926713
AETNA
NC
Enumeration date
10/06/2006
Last updated
08/22/2020
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